The Department of Counseling Services Request for Training & Presentations Form

Thank you for reaching out to the Department of Counseling Services. Our department looks forward to collaborating. Our goal is to provide the most meaningful and useful training or presentation to the intended audience. We find that a consultation beforehand, provides us with valuable information that can be utilized to determine the best means for us to work together. We therefore ask you to complete this webform with as much detailed information as possible.

In order for us to be of service to you, please answer the following questions:

* All Fields are Required

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Phone:*
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Who is the intended audience of the presentation?

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What are you hoping will be the level of engagement and interaction from the presenter? Check all that apply.

Level of Engagement:*

What are the learning outcomes desired from the presentation and/or training experience?

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How many people do you anticipate will be in attendance for the training and/or presentation?

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Requested Topic(s) of interest?

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What is the time allotted for the requested presentation or training?

Time Allotted:*
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